| NPI | 1780474783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | QIERRA PAIGE Owner / Administrator 414-323-9395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 3104A0630X Assisted Living Facility, Assisted Living, Behavioral Disturbances |
| Additional Taxonomies | 3104A0625X Assisted Living Facility, Assisted Living, Mental Illness |
| Enumeration Date | 2025-05-12 |
| Last Update Date | 2025-05-12 |